A Case of Acute Cholecystitis Caused by Plasmodium vivax Infection.
10.15279/kpba.2015.20.3.162
- Author:
Bo Kyung YANG
1
;
Jin Gu KANG
;
Hye Mi OH
;
Hee Su PARK
;
Kyung Up KIM
;
Seong Jin CHO
;
Hyun Jung CHO
;
Jin Heon LEE
Author Information
1. Department of Internal Medicine, Hallym University Medical School, Seoul, Korea. john114d@daum.net
- Publication Type:Case Report
- Keywords:
Acute cholecystitis;
Splenic infarction;
Plasmodium vivax
- MeSH:
Capillaries;
Cholecystectomy;
Cholecystitis;
Cholecystitis, Acute*;
Drainage;
Emergencies;
Emergency Service, Hospital;
Erythrocytes;
Fever;
Gallbladder;
Hypotension;
Intensive Care Units;
Plasmodium vivax*;
Plasmodium*;
Splenic Infarction;
Ultrasonography;
Vasculitis
- From:Korean Journal of Pancreas and Biliary Tract
2015;20(3):162-167
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute cholecystitis as a complication of malarial disease is a rare condition, especially with Plasmodium vivax infection. A 62 year-old-female was admitted via emergency room (ER) due to high fever (40.3degrees C) and epigastric pain. Initial abdominal ultrasound and computed tomography (CT) scan showed edematous gallbladder with stone, which suggested acute calculous cholecystitis. Emergency percutaneous transhepatic gallbladder drainage (PTGBD) was done with systemic antibiotic therapy. The clinical course, however, unusually worsened with hypotension and intensive care unit (ICU) management was done. Four days after admission multi-focal splenic infarction was developed and Plasmodium vivax infection was diagnosed afterward. The clinical symptoms and laboratory results, including fever and epigastric pain, improved dramatically after anti-malarial treatment and cholecystectomy was done. The resected gallbladder (GB) specimen shows vasculitis pattern with capillary red blood cell (RBC) engorgement, which suggests the cause of cholecystitis was due to Plasmodium vivax rather than GB stone.
